Faculty Opinions recommendation of Factors associated with establishment-based female sex workers accessing health care services in Shanghai.

Abstract Background Hong Kong has gained a good reputation for its quality public health care services. However, there is a growing recognition that social stigma is a potential obstacle when female sex workers (FSWs) access health care services. There are a lack of studies focusing on how FSWs experience and cope with stigma when accessing health care services in Hong Kong. Objective This study aims to explore how FSWs experience stigma and develop coping strategies when accessing health care services in Hong Kong. Methods This is a qualitative interview study. Staff of non-governmental organizations (NGOs) that serve sex workers in Hong Kong facilitated the process of recruiting the participants. In-depth individual interviews were conducted with 22 FSWs, focusing on their experiences of stigma and coping strategies when accessing health care services. A directed content analysis approach was adopted to analyze the data. Results The interview data can be grouped into three themes: experience of stigma in the health care setting; coping with the stigma of sex work; and the call for non-judgmental holistic health care. Conclusion This study contributes to an understanding of the experience of stigma and stigma coping strategies of FSWs when accessing health care services in Hong Kong. stigma remains an important issue for a large proportion of FSWs when they seek timely professional help, openly disclose their sex work identity, and receive comprehensive health care services. The study also highlights the need to address multiple healthcare needs of FSWs beyond STDs. Moreover, the study contributes to increasing awareness of, and respect for, the human right of FSWs to receive non-discriminatory health services.

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FACTORS ASSOCIATED WITH THE LIKELIHOOD OF FURTHER MOVEMENT AMONG MOBILE FEMALE SEX WORKERS IN INDIA: A MULTINOMIAL LOGIT APPROACH

Journal of Biosocial Science ◽

10.1017/s0021932015000267 ◽

2015 ◽

Vol 48 (4) ◽

pp. 539-556 ◽

Cited By ~ 2

Author(s):

Dipak Suryawanshi ◽

Varun Sharma ◽

Niranjan Saggurti ◽

Shalini Bharat

Keyword(s):

Sex Work ◽

Sex Workers ◽

Perceived Risk ◽

Sexual Coercion ◽

Female Sex Workers ◽

Multinomial Logit ◽

Consistent Condom ◽

Cross Sectional Survey ◽

Factors Associated ◽

Female Sex

SummaryFemale sex workers (FSWs) are vulnerable to HIV infection. Their socioeconomic and behavioural vulnerabilities are crucial push factors for movement for sex work. This paper assesses the factors associated with the likelihood of movement of sex workers from their current place of work. Data were derived from a cross-sectional survey conducted among 5498 mobile FSWs in 22 districts of high in-migration across four states in southern India. A multinomial logit model was constructed to predict the likelihood of FSWs moving from their current place of work. Ten per cent of the sampled mobile FSWs were planning to move from their current place of sex work. Educational attainment, marital status, income at current place of work, debt, sexual coercion, experience of violence and having tested for HIV and collected the results were found to be significant predictors of the likelihood of movement from the current place of work. Consistent condom use with different clients was significantly low among those planning to move. Likewise, the likelihood of movement was significantly higher among those who had any STI symptom in the last six months and those who had a high self-perceived risk of HIV. The findings highlight the need to address factors associated with movement among mobile FSWs as part of HIV prevention and access to care interventions.

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Factors Associated with Drinking Alcohol Before Visiting Female Sex Workers Among Men in Sichuan Province, China

AIDS and Behavior ◽

10.1007/s10461-012-0260-8 ◽

2012 ◽

Vol 17 (2) ◽

pp. 568-573 ◽

Cited By ~ 5

Author(s):

Cui Yang ◽

Carl Latkin ◽

Rongsheng Luan ◽

Kenrad Nelson

Keyword(s):

Sex Workers ◽

Female Sex Workers ◽

Sichuan Province ◽

Drinking Alcohol ◽

Factors Associated ◽

Female Sex

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Understanding the Factors Associated with Alcohol Use among Female Sex Workers in a High HIV Prevalence Northeast State of India

Journal of Infectious Diseases and Treatment ◽

10.21767/2472-1093.100017 ◽

2016 ◽

Vol 2 (1) ◽

Cited By ~ 1

Author(s):

Santosh Kumar Sharma ◽

Shri Kant Singh

Keyword(s):

Alcohol Use ◽

Sex Workers ◽

Female Sex Workers ◽

Hiv Prevalence ◽

Factors Associated ◽

Female Sex

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Factors associated with vaccination completion and retention among HIV negative female sex workers enrolled in a simulated vaccine efficacy trial in Kampala, Uganda

BMC Infectious Diseases ◽

10.1186/s12879-019-4328-1 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Yunia Mayanja ◽

Andrew Abaasa ◽

Gertrude Namale ◽

Gershim Asiki ◽

Matthew A. Price ◽

...

Keyword(s):

Sex Workers ◽

Vaccine Efficacy ◽

Female Sex Workers ◽

Efficacy Trial ◽

Factors Associated ◽

Female Sex ◽

Vaccination Completion ◽

Hiv Negative

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HIV testing behaviour and HIV prevalence among female sex workers in Ukraine: findings from an Integrated Bio-Behavioural Survey, 2013–2014

Sexually Transmitted Infections ◽

10.1136/sextrans-2018-053684 ◽

2019 ◽

Vol 95 (3) ◽

pp. 193-200 ◽

Cited By ~ 1

Author(s):

Anna Tokar ◽

Iana Sazonova ◽

Sharmistha Mishra ◽

Pavlo Smyrnov ◽

Tetiana Saliuk ◽

...

Keyword(s):

Hiv Testing ◽

Sex Work ◽

Sex Workers ◽

Sexual Partner ◽

Female Sex Workers ◽

Hiv Prevalence ◽

Factors Associated ◽

Female Sex ◽

Living With Hiv ◽

Test Result

ObjectivesUkraine has one of the largest HIV epidemics in Europe, with high prevalence among female sex workers (FSWs). We aimed to identify factors associated with HIV testing and receipt of the test result in the last 12 months, HIV prevalence and self-reported positive status among FSWs in Ukraine.MethodsWe used data from an Integrated Bio-Behavioural Survey among FSWs conducted in 2013–2014. The survey methodology combined three sampling strategies: time and location sampling, respondent-driven sampling and key informant recruitment. We used multivariable regression to identify factors associated with self-reported HIV testing in the last 12 months, HIV prevalence and self-reported positive status among FSWs living with HIV. Explored factors included: age, age at first sex, age at entry into sex work, education, marital status, employment status beside sex work, condom use with last paying or non-paying sexual partner, drug or alcohol consumption and sex work venue.ResultsRecent HIV testing was low overall with only 63.2% of FSWs reported having tested and received their test result in the last 12 months prior to the survey. HIV prevalence was 7.1% overall, but only 45.0% of FSWs living with HIV were aware of their HIV status. Testing in the last 12 months with receipt of test result was less common among FSWs who used drugs ever in life (adjusted OR (AOR) 0.7, 95% CI 0.6 to 0.9), women soliciting clients indoors (AOR 0.8, 95% CI 0.7 to 0.9) and those not using a condom with last paying sexual partner (AOR 0.3, 95% CI 0.2 to 0.5). HIV positivity was associated with history of ever using drugs (AOR 2.3, 95% CI 1.4 to 3.6) and soliciting clients outdoors (AOR 1.5, 95% CI 1.1 to 2.0). Women working indoors were less aware of their positive status (AOR 0.1, 95% CI 0.1 to 0.9).ConclusionHIV prevalence is high among FSWs in Ukraine, and testing and knowledge of one’s status remain insufficient. HIV testing programmes need to expand with strategies to reach specific subgroups of FSWs.

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